PRAFO
Pronunciation: PRAY-foh
Also written as: PRAFO — Pressure Relief Ankle-Foot Orthosis
A positioning and rehabilitation ankle-foot orthosis designed to hold the foot in a neutral position, primarily used for pressure relief and prevention of equinus contracture in bed-bound patients.
Full Definition
PRAFO stands for Pressure Relief Ankle-Foot Orthosis. It is a prefabricated device used predominantly in inpatient rehabilitation and acute care settings to maintain the ankle at 90° and protect the heel from pressure injuries. Unlike functional AFOs designed for ambulation, the PRAFO is primarily a static positioning device used during rest or bed rest. Its elevated heel design redistributes pressure away from the posterior heel, reducing the risk of pressure ulcers. Editors of rehabilitation and nursing documentation must distinguish between PRAFO (a specific device type) and generic splinting or positioning terminology.
Usage
Usage note: Always capitalised as an acronym. Distinguish from functional ambulation AFOs in clinical documentation; a PRAFO is not intended for weight-bearing use.
In Context
- "A PRAFO was applied bilaterally to maintain neutral ankle positioning and prevent heel pressure ulcers during the patient's ICU admission." — Inpatient rehabilitation order
- "The ward team was reminded that the PRAFO is a positioning device only and should be removed prior to mobilisation." — Nursing handover notes